Publication Date
2014
Journal Title
Thorax
Abstract
We performed a retrospective cohort study of patients with chronic obstructive lung disease (COPD) on long-term oxygen treatment (LTOT) who received invasive mechanical ventilation for COPD exacerbation. Of the 4791 patients, 23% died in the hospital, and 45% died in the subsequent 12 months. 67% of patients were readmitted at least once in the subsequent 12 months, and 26.8% were discharged to a nursing home or skilled nursing facility within 30 days. We conclude that these patients have high mortality rates, both in-hospital and in the 12 months postdischarge. If patients survive, many will be readmitted to the hospital and discharged to nursing home. These potential outcomes may support informed critical care decision making and more preference congruent care.
Volume Number
70
Issue Number
3
Pages
294-296
Document Type
Article
EPub Date
2014/05/16
Status
Faculty
Facility
School of Medicine
Primary Department
Pulmonary, Critical Care, and Sleep Medicine
PMID
DOI
10.1136/thoraxjnl-2014-205248